| NPI | 1821668856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: CA 95015386) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95015386) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2022-05-18 |